Search RMHP site

 

click here to enlarge text

A

A

A

 

Return to Plan Summaries

Good Health PPO Plans

RMHP has an extensive PPO provider network within Colorado that also includes national in-network coverage through Private Healthcare Systems' nationwide provider network. The PPO plans provide desired benefits, such as first dollar coverage for preventive care and fixed dollar copayments for doctor visits and certain diagnostic tests, all allowable before meeting the annual deductible. PPO plans are available with a variety of deductible levels to fit the employer's needs.

The following grid provides a quick, at-a-glance summary of all our PPO Plans. Please click on the Summary of Benefits and Plan Description Form links for detailed information about each plan.

Click here for a Printable Comparison of the PPO Plans below.

Plan Name
Deductible
Individual/Family
Office Copay
PCP/Specialist
Inpatient Hospital Stay
(after deductible)
Out of Pocket Maximum
Individual/Family

Prescription Drug Coverage

at Subscriber level

Accident Benefit

Covers first $500 of treatment per accident before deductible and coinsurance apply
In Network
Out of Network
In Network
Out of Network
In Network
Out of Network
In Network
Out of Network

In Network

In Network and Out of Network
$500/$1,000
(in and out of network combined)
$35/$50
50% coinsurance
20% coinsurance
50% coinsurance
$3,000/$6,000
$6,000/$12,000

$15/$50/$65 Select

or

$10 Generic Select
Available
$750/$1,500
(in and out of network combined)
$40/$55
50% coinsurance
25% coinsurance
50% coinsurance
$3,500/$7,000
$7,000/$14,000

$15/$50/$65 Select

or

$10 Generic Select
Available
$1,000/$2,000
(in and out of network combined)
$45/$60
50% coinsurance
30% coinsurance
50% coinsurance
$3,500/$7,000
$7,000/$14,000

$15/$50/$65 Select

or

$10 Generic Select
Available
$1,500/$3,000
(in and out of network combined)

$45/$65
50% coinsurance
25% coinsurance
50% coinsurance
$3,500/$7,000
$7,000/$14,000

$15/$60/$75 Select

or

$15 Generic Select
Available
$2,000/$4,000
(in and out of network combined)

$45/$65
50% coinsurance
30% coinsurance
50% coinsurance
$4,000/$8,000
$6,000/$12,000

$15/$60/$75 Select

or

$15 Generic Select
Available
$3,000/$6,000
(in and out of network combined)

$45/$65
50% coinsurance
35% coinsurance
50% coinsurance
$3,000/$6,000
$6,000/$12,000

$15/$60/$75 Select

or

$15 Generic Select
Available
$5,000/$10,000
(in and out of network combined)
$45/$65
50% coinsurance
30% coinsurance
50% coinsurance
$6,000/$12,000
$10,000/$20,000

$15/$60/$75 Select

or

$15 Generic Select
Available
$1,500/$3,000
$3,000/$6,000

Not covered

Not covered

25% coinsurance
50% coinsurance
$3,500/$7,000
$7,000/$14,000
$15 Generic
Available